The farther along we get into this pandemic, we’re seeing its effects in ways other than just new case numbers and hospitalizations. From a report we received on yesterday morning’s Joint Task Force call from Dr. McCullers with Le Bonheur, we’re also seeing an increase in Adverse Childhood Experiences (ACEs). As defined the by the CDC, adverse childhood experiences, are potentially traumatic events that occur in childhood (0-17 years). Some examples:
-experiencing violence, abuse, or neglect
-witnessing violence in the home or community
-having a family member attempt or die by suicide
Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding such as growing up in a household with:
-substance misuse
-mental health problems
-instability due to parental separation or household members being in jail or prison
Specifically, in Shelby County, 52% of our residents’ report having at least 1 ACE, and 12% report experience four or more. Substance abuse, emotional abuse, and domestic violence are the most prevalent in our community.
With higher unemployment levels and added stress brought on from dealing with all aspects of the pandemic, those numbers have only gotten worse. Based on a comparison of May and June of 2019 and May and June of 2020 from information gathered at Le Bonheur’s primary care clinics which see roughly 14,000 patients each year
-65% of children seen had significant ACEs or social determinants of health needs or both in 2020, compared to 57% in 2019
-Number of ACEs reported rose by 35%
-Depression / mental illness rose by 250%
-Violence in the neighborhood rose by 350%
All that information is further reason for us to keep pushing masking, hand washing and staying home if we’re sick. Slowing this virus sooner rather than later is so important not only for the physical health of our city but the mental health as well because both of which will have long-lasting impacts.
Mask Enforcement
DATA AND ACTIONS FOR AUGUST 4
Received 17 complaints
City Mask Ordinance
Code completed 43 inspections based on processed complaints.
11 businesses received warnings.
0 businesses received a summons.
0 businesses received a second summons
H.D. Mask and Other Violations
Code completed 21 inspections based on processed complaints
2 businesses received warnings
ENFORCEMENT STATUS TO DATE – CITY MASK ORDINANCE
To date, 677 City Mask Complaints have been inspected by Code:
564 complaints have been resolved as “compliant” following inspection by Code
59 current open matters. The following is a breakdown of the open matters:
30 pending inspections
17 businesses on 1st Violation
1 business on 2nd Violation
1 business on 3rd Violation
3_ businesses have been issued first summons
2_ businesses have been issued second summons
0 businesses were closed at first inspection (NOH)
ENFORCEMENT STATUS TO DATE – HEALTH DEPARTMENT DIRECTIVES
To date, 116 H.D. related complaints have been inspected by Code:
72 complaints have been resolved as “compliant” following inspection by Code.
30 current open matters. The following is a breakdown of the open matters:
24 pending inspections
2 businesses on 1st Violation
1 business on 2nd Violation
0 business on 3rd Violation
3 businesses were closed at first inspection (business was closed)
WRITTEN VIOLATIONS SUMMARY
To date, 318 City Mask Ordinance violations have been issued (this is the cumulative total for violations issued in closed and open matters)
To date, 21 Health Department violations have been issued (this is the cumulative total for violations issued in closed and open matters)
COVID-19 Data Points
Shelby County Health Department COVID-19 Daily Update: August 5, 2020
Shelby County COVID-19 Cases
Total Shelby County Cases: 22,317
New Cases Today: 197
Deaths Total: 293
Deaths Reported Last 24 Hours: 7
Total Tested in Shelby County: 210,903
Tennessee Total Cases: 112,441
*As of 2:00 p.m. 8/4/20
Other Jurisdictions
Tipton County, TN: 1,123
Desoto County, MS: 3,387
Crittenden County, AR: 1,213
Numbers current as of 10:00 a.m. 8/5/20
Shelby County Health Department is tracking clusters in facilities that serve certain vulnerable populations:
Here is information about clusters considered to be resolved. A cluster is considered resolved once a facility has gone 28 days without a new case:
Shelby County Health Department has added a data page to its COVID-19 webpage: www.shelbytnhealth.com/coronavirus. It includes information about the geographic distribution of COVID-19 cases in Shelby County.
All of Shelby County, including the municipalities and the unincorporated areas are under Safer at Home orders. Some non-essential businesses, including bars and some limited service restaurants have been ordered to close, under the current Health Directive No. 9. Health Directive No. 9 also orders all restaurants in Shelby County to close no later than 10:00 p.m. each night.
Health Directive No. 9 also contains some substantive changes regarding 1.) further guidance for individuals and employers, 2.) further limiting risk behaviors in bars and restaurants, and 3.) providing guidance for schools (including colleges and universities). Health Directive No. 9 may be viewed at www.shelbytnhealth.com/healthdirectives.
On August 1, 2020, the Health Department issued an FAQ (frequently asked question) about school sports and activities on the Health Directives webpage: www.shelbytnhealth.com/healthdirectives. It is as follows:
On School Sports and Activities:
Q: Are schools authorized to permit (or not) school-sponsored sporting events and activities?
A: Yes, pursuant to Governor Lee’s Executive Order 55, local education agencies and schools may permit, but are not required to permit, school-sponsored sporting events and activities, provided that all such activities, including practices and games or competition, must be conducted in a manner consistent with COVID-19-related regulations adopted by the Tennessee Secondary Schools Athletic Association. The Health Department is available to provide technical assistance on any sports event or activity.
The order is available here (as of July 31, 2020) here: https://publications.tnsosfiles.com/pub/execorders/exec-orders-lee55.pdf
For more information about the Safer at Home order or to register concerns, the public may contact:
· The Shelby County Mayor’s Action Line: 901-222-2300
· The Shelby County Health Department’s COVID-19 Hotline: 833-943-1658
· Email shelbytnhealth@shelbycountytn.gov.
On July 3, and updated July 7, 2020, the Shelby County Health Department issued a Health Order and Directive Regarding Masks and Cloth Face Coverings, which may be viewed at www.shelbytnhealth.com/healthdirectives.
The Order and Directive requires the use of masks or cloth facial coverings in most public settings by all persons in Shelby County with the exceptions of children age two or younger and persons who cannot tolerate facial coverings because of certain medical conditions.
Please note, face masks with expiratory vents or valves are not recommended. The vents allow potentially infectious respiratory droplets to be expelled into the air and therefore do not prevent the spread of the COVID-19 virus.
Approved masks may be picked up, while supplies last, at all Shelby County Health Department locations listed below during the hours of 8:00 a.m. and 3:30 p.m., with the exception of the Collierville clinic, which is open Tuesday and Thursday only. No appointment is needed to pick up a mask.
Health Department Main Office
814 Jefferson Avenue, 38105
Cawthon Public Health Clinic
1000 Haynes, 38114
Collierville Public Health Clinic (Tuesday and Thursday, 9:00 a.m. – 3:30 p.m.)
167 Washington St., 38017
Hickory Hill Public Health Clinic
6590 Kirby Center Cove, 38118
Millington Public Health Clinic (Tuesday and Thursday, 9:00 a.m. – 3:30 p.m.)
8225 Highway 51 North, 38053
Shelby Crossing Public Health Clinic
6170 Macon Road, 38133
Southland Mall Public Health Clinic
1287 Southland Mall, 38116